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Dr. Kirankumar Viramgama

Sleep Medicine
Gettysbug , PA
32 years experience male

Locations

Gettysburg Lung Center P.C.

Gettysbug , PA

Address

124 West High street , Gettysbug , PA
Directions

My office hours

Tuesday: 8:00am - 5:00pm
Show more

Practice website

Insurances accepted

Capital Blue Cross

UnitedHealthcare

Aetna

Cigna

Medicare

About

Bio

Dr. Kiran Viramgama provides integrative clinical management for chronic fatigue syndrome and fibromyalgia patients. We help diagnose, clinically manage and assist in developing an individualized, fatigue improvement plan for our patients. Thiscan be anything specific from sleep problems to diet, exercise, drug interactions, drug side effects, adding specific supplements, Ayurvedic herbs, and other natural modalities for rejuvenation We are experienced in treating patients with an integrative medical approach and have helped patients improve quality of life and overall well-being. We have developed a very uniquely designed, clinically monitored program of two-years’ duration as most patients with moderate to severe chronic fatigue syndrome and/or fibromyalgia need very close clinical monitoring for at least a two-year period based on severity of underlying disease. We will take time in assisting you in your individual management of the disease from start to finish of the program. It is a time-consuming process with multiple changes in treatment as one improves with very close followup. This is a 2 year clinically monitored program. Dr.Viramgama is Board Certified in Pulmonary medicine and Sleep medicine and has practice in Gettysburg PA since 2001.. For more information visit : www.fatiguecare.com or call 717-338-9797

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Sleep Medicine

Languages spoken

English, Gujarati, Hindi

Doctor Q&A

56 Answers
123 Agrees
The number of answers this doctor has agreed with.
A 19-year-old female asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Diagnostic Criteria: Yes fibromyalgia it is a medical disease. Fibromyalgia is diagnosed by: 1. Wide spread pain bilaterally on the body for at least 3 months. 2.... Read More
A 36-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Good sleep hygiene: 1. Considering you have no medical issues. Keep same sleep-wake cycle. 2. Avoid caffeine after lunch or minimize. 3.Slow deep breathing exercise pr... Read More
A 33-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Sleep interuption: Needs more details but has sleep interuption which can be like restless leg syndrome, pain related arousal, delayed sleep phase syndrome, sleep apnea... Read More
A 39-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Sleep maintance ....: Need more details but looks like..Sleep maintance difficulty so keep same sleep wake cycle, avoid caffeine in afternoon and any day time naps. Sleep ... Read More
A 32-year-old female asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Possible GERD: Many different things can cause similar symptoms of night time hunger and or heartburn like symptoms. H. Pylore infection, stress, sleep deprivation... Read More
A 45-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
May try this : (1) learn yoga breathing exercise (2) improvement in sleep try to sleep 10pm to 6am (3) if associated insomnia use sleep restrictive therapy and s... Read More
A 18-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Less likely: 1. One need to find out why one so sleepy in morning and underlying cause needs to be evaluated and treated. 2. Drinking large amount of coffee/caffei... Read More
A 18-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Obstruction in airwa: It may vary from asthma , copd, mucus formation, sleep apnea, nasal obstruction , smoking related, rarely malignancy and if symptom persist then see... Read More
A 23-year-old male asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
No: Generally routine antibiotic don't make one drowsy after eating food but it may be related to acute illness or other causes. Commonly antibiotic ... Read More
A 18-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Use tongue cleaner: It is from toxic builtup overnight and bacterial growth. Get "u" shape tongue cleaner and clean the tongue daily after brushing the teeth. Have a reg... Read More
A 22-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Go to bed early: Have a good sleep hygiene and same eating and sleeping time daily routine. If needed use alarm daily to wake yourself including days off and have sam... Read More
A 36-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Get evaluated: There can be many different causes like stress, depression, anemia, sleep apnea, thyroid problems, medication side effects, restless leg etc. . Do yo... Read More
A 33-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
None: All medication comes with side effects but if used appropriately under medical guidance and getting dose adjusted periodically side effects may be v... Read More
A 35-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Yoga & Ayurveda: Natural treatments in conjuction with standard treatment if one is interested may consider yoga, diet, exercise, weight loss, good sleep hygine, medi... Read More
A 42-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Keep Sleep Log : If one keeps log of sleep symptoms like snoring, fatigue, restless leg symptoms, daytime sleepiness, difficulty falling asleep or maintaining sleep et... Read More
A 34-year-old female asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
See below: 1. Sudden weight gain change in metabloism, , lack of good sleep, stress, hormonal dysfunction etc need to be considered. 2.Prescribed drugs over la... Read More
A 45-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Severe fatigue > 6 m: Cfs is profound fatigue with constellations of other symptoms for 6 months or more. Medical workup is generally negative. Other symptoms may be po... Read More
A 37-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
See below : (1) have your blood pressure be monitored.(2) check for diabetes.(3) ENT to rule out any ear problems. (4) check medication with this side effects.... Read More
A 36-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
See below: Generally prescription of CPAP is not needed for security clearance. But if my patient is very anxious about travel we give them anyway. If one ... Read More
A 32-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
No: Both are different disease or conditions. Rarely may occur together. Generally not together in one person.
A 21-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Yes apnea can: If someone is stop breathing anytime , then it is called apnea. Commonly called sleep apnea when it happens while sleeping. Noramlly apnea is less t... Read More
A 30-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Gastritis & sleep ap: Get evaluated for sleep apnea as this may be the related to gastritis or reflux. Medication side effect, in adequate sleep, poor sleep hygiene, sleep ... Read More
A 65-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
NREM to REM sleep: Every 90 minutes sleep pattern changes from non-dream sleep (nrem sleep) to dream sleep (rem sleep). The transistion from one sleep cycle to other an... Read More
A 50-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Yes one can try: If one has mild RLS and depending on underlying cause it may be alleviated by natural measures. Pranayama or breathing exercise of yoga, regular exer... Read More
A 40-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Poor sleep outcome : Briefly chronic sleep deprivation may affect memory, cause chronic fatigue, increase risk of heart attack or stroke , decrease immunity, chronic ... Read More
A 32-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
See below: 1.If nasal congesion that needs to be treated. 2.If you have sleep apnea symptoms then needs to be evaluated. 3.Alteranate nostril breathing ( anul... Read More
A 42-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Low oxygen at night: Many causes like sleep apnea, copd, emphysema, heart disease etc. Can cause nocturnal hypoxemia or low level of oxygen at night. It is important med... Read More
A 36-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
See below: Possible delayed sleep phase syndrome with sleep deprivation & poor sleep hygiene. (1) keep same sleep wake cycle 365 days/year (2) adjust sleep cycle... Read More
A 49-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Hormonal changes : With possible changes in hormonal levels during period there is possible change in perception of pain, emotion, sense of well being change. That make... Read More
A 27-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Improve sleep hygien: 1. Improve sleep hygiene, sleep adequately for 7-8 hours daily, , maintaining same eating and sleeping cycle. 2. Exercise regularly and find out what ... Read More
A 25-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
See your doc: If pain is unbearable then need to see your doc or get urgent medical help. See gastroenterology for evaluation if not done and further complex manage... Read More
A 28-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Lower pain threshold: Cold will lower the pain threshold and increase bodily pain and heat generally decrease it. When sleep is inadequate there is increase in pain, emotio... Read More
A 36-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Time Zone traveled: Depending on number of time zone traveled. Traveling from ny to la in usa is 3 time zone and about 3 days it last. Traveling west is less taxing to bo... Read More
A 40-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Fibro doctor: Find a doctor who has special interest in treating fibromyalgia and chronic fatigue syndrome. Over all control of pain, improvement of sleep, relaxat... Read More
A 40-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Hormonal changes: Lack of sleep increase level of hormone called ghrelin and decrease of leptin level in the body. Stress and lack of sleep increase cortisol hormone i... Read More
A 29-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Yes and No: For a short term managment of insomnia it helps. But for a chronic insomnia it is not as great helpful but cognitive behavioral therapy, sleep restric... Read More
A 32-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
See below: You have sleep interuption/sleep onset difficulty. Improve the sleep hygiene by going to bed the same time and wake up same time. Sleep restriction th... Read More
A 29-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
See below : (1) slow deep breathing exercise in morning and evening and prior to going to bed while sick. (2) avoid cold water/drinks/ice. Use warm or hot liqui... Read More
A 28-year-old male asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Used for Insomnia : Trade name ambien (zolpidem). Used for short-term treatment of insomnia. Comes in regular 5mg &10mg tablet. Generally 10mg at bedtime use. Elderly dos... Read More
A 51-year-old male asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Drug side effect : Possible statin side effect (common under reported) and may cause muscle symptoms like muscle pain/ ache/ discomfort/ weakness. Stains do affec... Read More
A 34-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Clinical evaluation: Sleep clinic does the clinical evaluation and managment of the sleep disorders/problems and wants to rule out sleep apnea. Sleep lab does the diagnost... Read More
A 41-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Try this: Have a good sleep hygiene, regular exercise and sleep wake cycle, balance diet, cut caffine intake if appropriate and avoid it in afternoon. If you st... Read More
A 41-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Multimodality Rx: Multimodality treatment may be needed then one single treatment modality. The combination of pain control management, improvement of sleep and diges... Read More
A 41-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Insomnia: 1. Improve sleep hygiene go to bed same time and wake up same time. 2.Sleep restriction therapy- only sleep in bed when sleepy and get out of the bed ... Read More
A 20-year-old female asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Try some changes: 1. Eat about half stomach solid food, quarter stomach liquids in the mddile( warm) and keep rest empty. Small luch and dinner and heavy breakfast. ... Read More
A 33-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Improve sleep: (1) by improving his sleep consider improving sleep hygiene and sleep restriction therapy for spouse. (2) sleep restriction therapy mean go to bed... Read More
A 32-year-old member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
6 hours: Generally regular 7-8 hours of sleep at least 1-2 weeks prior to the exam helps the recall process in exam , avoid fatigue. Less then 4 hours of sleep... Read More
A member asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
?Memory changes: Look for medication side effects, make sure sleep is good and adequate for 7-8 hrs/day, good sleep hygiene, good bm daily, exercise regulalry, eat bal... Read More
A 32-year-old female asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
Fibro- Anxiety : 1. See cardiologist if not seen and get cardiac workup to reassure no underlying heart disease. 2. Learn yoga breathing exercise to relax. 3. Goo... Read More
A 62-year-old female asked:
Dr. Kirankumar Viramgama
Sleep Medicine 32 years experience
See below : 1. Potassium, magnesium, minerals , vitamin deficiency. 2. Caffeine & alcohol. 3. Drug side effect like antidepressants, cholestrol drugs and othe... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
237
Thank you notes
May 11, 2013
Dr. Viramgama is providing a valuable service to the public via Health Tap. He is clearly very knowledgeable about Sleep Medicine. I recommend Dr. Viramgama.
HealthTap member
Mar 30, 2015
Dr. Viramgama is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Viramgama is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you very much- these are all very helpful recommendations for me to work on! Thank you for your time & expertise!
HealthTap member
Your answer was very helpful! Thanks :) I'm not familiar with these medical terms.I would like to learn more.
HealthTap member
Thank you, your answer was very helpful! Thanks I never knew that its probably why I'm always in pain..

Education & Training

Medical/Graduate school

Gujarat University, B. J. Medical College, India
Graduated 1990MD

Residency

CONEY ISLAND HOSPITAL

Awards

Most Influential, Second Place, Harrisburg Region, PA - Summer
2013
Thought Leader, Third Place, Harrisburg Region, PA - Summer
2013
Top Sleep Medicine Specialist, First Place, Pennsylvania - Summer
2013
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less